No individual, company, business, nonprofit entity, or health insurance issuer offering group or individual health insurance coverage shall be required to participate in any Federal health insurance program created under this Act (or any amendments made by this Act), or in any Federal health insurance program expanded by this Act (or any such amendments), and there shall be no penalty or fine imposed upon any such issuer for choosing not to participate in such programs.

(Pub. L. 111–148, title I, § 1555, Mar. 23, 2010, 124 Stat. 260.)

As always, in order to get the real, enforceable law, one must go to the Public Laws as written by Congress [opposite of PROgress] in 124 Statutes at Large 260.

No individual, company, business, nonprofit entity, or health insurance issuer offering group or individual health insurance coverage shall be required to participate in any Federal health insurance program created under this Act (or any amendments made by this Act), or in any Federal health insurance program expanded by this Act (or any such amendments), and there shall be no penalty or fine imposed upon any such issuer for choosing not to participate in such programs.

I suggest that you learn how to find these locations on the Internet [thank you, Al Gore] and be able to show any bureaucrat that you are complying with the law by either providing your own health insurance or relying upon the Almighty ONE to protect you.